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When classified by interval-need dependency, 41% (332/810) were independent; 39% (317/810) were long-interval dependent requiring help less than daily; 12% (94/810) were short-interval dependent requiring help at regular intervals every day and only 8% (67/810) of the cohort were critical-interval dependent requiring 24-hour care (Table 5).
Assuming constant prevalence of interval-need dependency and that the balance of care homes to other ways of supporting dependent older people also remains constant, these estimates would imply that there will be an 89% increase in the demand for residential and nursing home places over the same period.
"Because love without consciousness becomes need, dependency.
"The enemy is not poverty, sickness and disease, but a set of interests that need dependency, masked by service".
The self-reported frequency of help received validated the interval-need dependency classifications.
Participants with higher levels of interval-need dependency were more likely to have used health services (Table 7).
Our assumption of constant prevalence of interval-need dependency is conservative for the UK, and indeed more generally [ 34].
Participants with higher levels of interval-need dependency were significantly less likely to have consulted a practice nurse in the previous year.
Polytomous regression models with adjustment for gender were also used to explore the association between interval-need dependency and health and social care service use with significance assessed by the Wald Chi-squared (Wald χ).
Of the 841 participants with complete data on ADLs, 31 (9 men, 22 women) had missing data on continence or SMMSE and therefore could not be classified for interval-need dependency.
Our estimates of the levels of ability to undertake ADLs and interval-need dependency in this age group are consistent with the trends observed in other studies [ 2, 4, 5, 7, 9- 11].
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